Club Med Quote

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In order to receive a free, no obligation price quote please fill out the following form. Be sure to include all of the information as incomplete forms will delay or prevent processing. Please verify that the contact information (especially e-mail address) is correct so that we can get back to you as quickly as possible. Quotes are returned in approximately 24-48 hours. I

CONTACT INFORMATION: *blue fields are required

Name Daytime Phone #

Evening Phone #

E-mail (please be accurate) E-mail (Re-Confirm)

Best time to call

TRAVEL INFORMATION:

Number of Adults Number of Children Ages

Departure Date: Month Day Year

Return Date: Month Day Year

Do you need airfare? Yes No

If yes, what is the departure city?

Club Med Resort (s)

Meal Plan

If you are requesting a quote for more than one hotel, please specify the hotels in the comments

Select a Room Category

MY TOTAL BUDGET FOR THIS VACATION IS

If Selected hotel exceeds budget, recommend hotel within budget? Yes No

Occasion

If you have received a quote from another agency please provide the name of agency and price person you were quoted for. We will do our best to beat any valid quotes.

If yes, which agency?

Price per person quoted $ Which Hotel and room category?

COURTESY HOLD (optional)

If your dates are outside of 45 days of travel and you would like a Free Courtesy 7 Day Hold, please supply the legal names of all passengers traveling. This will secure both your price and air and hotel room for 7 days. We will e-mail you a detailed itinerary with deposit and payment information should you decide to guarantee and finalize your vacation.

I am ready to book just checking prices

I would like a courtesy hold Yes No IF YES PLEASE SUPPLY ALL LEGAL NAMES OR WE CANNOT HOLD

ALL PASSENGERS NAMES FOR COURTESY HOLD

COMMENTS

Please provide any additional resort requests, information or comments that you feel are important in planning in your vacation.

In order to process your request, please make sure all information (especially e-mail address) is included and correct, then hit submit. Please do not submit more than 1 request per day.